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CRCR Exam bundle with Graded A+ Answers.
CRCR Exam bundle with Graded A+ Answers.
[Show more]CRCR Exam bundle with Graded A+ Answers.
[Show more]Through what document does a hospital establish compliance standards? - ANSWER-code of conduct 
 
What is the purpose OIG work plant? - ANSWER-Identify Acceptable compliance programs in various provider setting 
 
If a Medicare patient is admitted on Friday, what services fall within the three-day D...
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Add to cartThrough what document does a hospital establish compliance standards? - ANSWER-code of conduct 
 
What is the purpose OIG work plant? - ANSWER-Identify Acceptable compliance programs in various provider setting 
 
If a Medicare patient is admitted on Friday, what services fall within the three-day D...
What are collection agency fees based on? - ANSWER-A percentage of dollars collected 
 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday 
 
In what type of payment methodology is a lump sum or bundled payment negotiated between t...
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Add to cartWhat are collection agency fees based on? - ANSWER-A percentage of dollars collected 
 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday 
 
In what type of payment methodology is a lump sum or bundled payment negotiated between t...
What are collection agency fees based on? - ANSWER-A percentage of dollars collected 
 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday 
 
In what type of payment methodology is a lump sum or bundled payment negotiated between t...
Preview 4 out of 61 pages
Add to cartWhat are collection agency fees based on? - ANSWER-A percentage of dollars collected 
 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday 
 
In what type of payment methodology is a lump sum or bundled payment negotiated between t...
Net Days in AR - ANSWER-Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. 
 
A/R Aging - ANSWER-Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. 
 
Credit Balances - Days Outstanding - ANSW...
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Add to cartNet Days in AR - ANSWER-Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. 
 
A/R Aging - ANSWER-Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. 
 
Credit Balances - Days Outstanding - ANSW...
Important revenue cycle activities in the pre-service stage include; - ANSWER-Obtaining or updating patient and guarantor information 
 
In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; - ANSWER-The amount th...
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Add to cartImportant revenue cycle activities in the pre-service stage include; - ANSWER-Obtaining or updating patient and guarantor information 
 
In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; - ANSWER-The amount th...
Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period 
 
Which of the following is required for participation in Medicaid - ANSWER-Meet Income and Assets Requireme...
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Add to cartOverall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period 
 
Which of the following is required for participation in Medicaid - ANSWER-Meet Income and Assets Requireme...
What do Case Managers do? - ANSWER-Monitor high resource cases to ensure effective utilization 
 
What is HIM responsible for? - ANSWER-all pt medical records: transcribe, coding, release to biling, answer requests for documentation 
 
What is utilization management responsible for? - ANSWER-manage ...
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Add to cartWhat do Case Managers do? - ANSWER-Monitor high resource cases to ensure effective utilization 
 
What is HIM responsible for? - ANSWER-all pt medical records: transcribe, coding, release to biling, answer requests for documentation 
 
What is utilization management responsible for? - ANSWER-manage ...
Types of Unscheduled Patients - ANSWER-Urgent (ED) patients, Walk-in OP, Observation patients, and newborns. 
 
Resource Coordination - ANSWER-The process of reserving rooms and/or equipment, ordering devices or supplies, and ensuring that professional staff (physicians, nurses, and/or technicians) ...
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Add to cartTypes of Unscheduled Patients - ANSWER-Urgent (ED) patients, Walk-in OP, Observation patients, and newborns. 
 
Resource Coordination - ANSWER-The process of reserving rooms and/or equipment, ordering devices or supplies, and ensuring that professional staff (physicians, nurses, and/or technicians) ...
Patient-Centric Revenue Cycle - ANSWER-The major processing steps required for a request for service through closing the account at zero balance. 
 
Pre-Service - ANSWER-Scheduled & pre-registered pt.,cost est., data colleted 
 
Time-Of-Service - ANSWER-Scheduled & Unscheduled-caser mgmt. & discharg...
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Add to cartPatient-Centric Revenue Cycle - ANSWER-The major processing steps required for a request for service through closing the account at zero balance. 
 
Pre-Service - ANSWER-Scheduled & pre-registered pt.,cost est., data colleted 
 
Time-Of-Service - ANSWER-Scheduled & Unscheduled-caser mgmt. & discharg...
The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? 
A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. 
B. Pursue extraordinary collection activities with all patients eligible...
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Add to cartThe 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? 
A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. 
B. Pursue extraordinary collection activities with all patients eligible...
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